Patient Care Navigator

Samaritan Daytop Village•Bronx, NY

1d•Onsite

About The Position

Under general supervision, the Patient Care Navigator provides care management for clients and their families or support systems, advocates for clients to obtain needed services, and coordinates those services. The role addresses member needs such as appointment monitoring, event notifications, service-provider linkages, and care-plan updates. Patient Care Navigators are expected to understand how to access services, communicate effectively, and build strong relationships with members. The work supports the mission and goals of Samaritan Daytop Village.

Requirements

Associate degree in Human Services, Sociology, Psychology, or a related field.
Willingness to travel regularly in the community and to members’ homes as needed.
Computer literacy, including proficiency in Microsoft Office Suite and EHR.
Experience working directly with people from diverse racial, ethnic, and socioeconomic backgrounds.
Flexibility to respond to member calls outside the daily work schedule, including 24-hour call.

Responsibilities

Conduct agency visits to clients’ providers.
Maintain an assigned caseload.
Use approved Health Home assessment tools and Health Information Technology (HIT) to complete initial and annual assessments and develop care plans addressing service needs.
Complete an accurate monthly HML assessment for each assigned member.
Provide referrals, develop linkages, follow up on client services, and document activities promptly in the corresponding Health Home electronic medical records.
Use HIT dashboards to link services and communicate with the care management team, providers, members, and their families or caregivers.
Conduct outreach and engagement with designated Health Home members through face-to-face, mail, electronic, and telephone contact.
Ensure services provided to caseload members meet the core values of care management services set forth in federal Affordable Care Act guidelines.
Help members access health care and social service systems, including arranging transportation, scheduling appointments, and accompanying members to appointments.
Help members identify community-based resources and manage referrals, access, engagement, follow-up, and service coordination.